Provider Demographics
NPI:1952364754
Name:WAXENGHISER, ZURIK (MD)
Entity Type:Individual
Prefix:DR
First Name:ZURIK
Middle Name:
Last Name:WAXENGHISER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 S.W. 87TH AVENUE, SUIT C-340
Mailing Address - Street 2:ASTHMA & ALLERGY ASSOCIATES OF FLORIDA
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3570
Mailing Address - Country:US
Mailing Address - Phone:305-595-0109
Mailing Address - Fax:305-595-7092
Practice Address - Street 1:7800 S.W. 87TH AVENUE, SUIT C-340
Practice Address - Street 2:ASTHMA & ALLERGY ASSOCIATES OF FLORIDA
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3570
Practice Address - Country:US
Practice Address - Phone:305-595-0109
Practice Address - Fax:305-595-7092
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0062088174400000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251995000Medicaid
FL251995000Medicaid
FLG18007Medicare UPIN
FL27744XMedicare ID - Type Unspecified